Registration Directions

1. Fill out the Form below and "Submit it", then mail your check to the address below

2. Download and e-mail the registration form to connectwithmusic@aol.com and mail your check to the address below

3. Download and mail both your check and form. The mailing address is listed near the bottom of this page

4. If you wish to submit your registration by mail or e-mail:

Please click the link to download the form: Connect with Music Registration Form

PLEASE SELECT ONE:

Orlando Philharmonic Class: Thursdays, January 17 - February 21, 2008

Orlando Philharmonic Class: Thursday, February 28 - April 6, 2008

Please provide the following contact information:

Baby's Name

Age (in months) when the class begins

Date of Birth

Gender Male Female

Adult's Name

Relationship to Child

Street Address

City

State

Zip/Postal Code

Phone

E-mail

If attending with a friend, please enter their name here

Receipt of your payment will confirm your place in the class. Please make checks payable to:

MPA and mail to:

Dr. Mary Palmer

11410 Swift Water Cir.
Orlando, FL 32817